Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Utilization Management Nurse | Flexible Shifts

Case Management Society of America (CMSA) ®

Bellaire, TX
  • Remote job

The Case Management Society of America (CMSA) ® seeks a Utilization Management Review Nurse (UMRN) to evaluate the appropriateness of medical services. Key responsibilities include assessing care based on medical necessity, working with payers on denials, and promoting quality outcomes. Candidates must have a Bachelor in Nursing, 5 years of healthcare experience, and a Texas RN license. The position requires strong communication skills and may involve telecommuting with flexible shifts as needed. #J-18808-Ljbffr Case Management Society of America (CMSA) ®

Vacancy posted 13 hours ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management Nurse | Flexible Shifts in Bellaire, TX vacancy
  •  ...Alliance for Career Enhancement is seeking a Nurse Consultant to join their Utilization Management team. In this 100% remote role, you will apply your clinical judgement...  ...utilization management processes. The position offers flexible hours within business hours and a competitive... 
    Remote job
    Flexible hours

    Hispanic Alliance for Career Enhancement

    Columbus, OH
    2 days ago
  • $50.68 per hour

     ...Job Overview The Utilization Review RN participates...  ...Department Name: Utilization Management Job Status: flex,...  ...for benefits Shift: variable - must have...  ...position will be primarily remote but there may be...  ...Bachelor of Science in Nursing (BSN) * EXPERIENCE -... 
    Remote work
    Flexible hours
    Hourly pay
    Temporary work
    Live in
    Immediate start
    Relocation
    Shift work
    Weekend work
    Day shift
    Afternoon shift

    Children's Hospital Colorado

    Aurora, CO
    2 days ago
  • $71.1k - $97.8k

     ...part of our caring community The Utilization Management Nurse 2 utilizes clinical nursing skills to...  ...guidelines/procedures. This role is a remote position, M-F 8am to 5pm EST with...  ...families. We design competitive and flexible packages to give our employees a sense... 
    Remote work
    Flexible hours
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Work from home
    Home office
    Weekend work

    Humana

    Columbia, SC
    4 days ago
  • $26.01 - $68.55 per hour

     ...family and one community at a time. Utilization Management is a 24/7 operation and work...  ...holidays, and evening hours. UM Nurse Consultant Fully Remote- WFH Standard Schedule 4x10's - Thursday...  ...including paid time off, flexible work schedules, family leave, dependent... 
    Remote work
    Flexible hours
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Work from home
    Monday to Friday
    Afternoon shift

    Hispanic Alliance for Career Enhancement

    Kansas City, MO
    13 hours ago
  •  ...A healthcare staffing agency is seeking a Utilization Management RN to work remotely from PA, DE, or NJ. The role involves assessing clinical...  ...with InterQual criteria. This position offers a day shift workload with flexible weekends and requires an active PA RN license. #J... 
    Remote work
    Flexible hours
    Weekend work
    Day shift

    The Judge Group, LLC

    New York, NY
    3 days ago
  • A regional healthcare provider in Houston is seeking a Utilization Management Review Nurse. This role involves evaluating the appropriateness of medical...  ...management and insurance payers. This position offers flexible scheduling and opportunities for telecommuting. #J-18808... 
    Remote job
    Flexible hours

    Harris Health

    Houston, TX
    3 days ago
  •  ...About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity...  ...coverage while working remotely. Primary Responsibilities...  ...pace and changing environment- flexibility in assignment. • Proficient... 
    Remote work
    Flexible hours
    Contract work
    Work at office

    Brighton Health Plan Solutions

    Chapel Hill, NC
    1 day ago
  • $116.3k - $264.6k

     ...Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work Schedule...  ...and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide direct...  ...a team of UM coordinators and nurses. You'll work closely with Medicare... 
    Remote work
    Flexible hours
    Monday to Friday

    UCLA Health

    Los Angeles, CA
    13 hours ago
  • A healthcare company is seeking a Utilization Management Registered Nurse to utilize nursing skills for coordinating medical services. Responsibilities...  ...service eligibility and facilitating care. This remote role requires an RN license and clinical experience. Benefits... 
    Remote job
    Work from home

    Humana Inc

    Nashville, TN
    3 days ago
  • Harris Health System, Inc. is seeking a Utilization Management Review Nurse (UMRN) in Bellaire, TX. This position involves evaluating medical service...  ...significant experience in healthcare settings. Flexible work schedule is available. #J-18808-Ljbffr Harris Health... 
    Remote job
    Flexible hours

    Harris Health System, Inc.

    Bellaire, TX
    3 days ago
  •  ...Utilization Management Review Nurse Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents...  ...healthcare (Interqual) Work Schedule Flexible: 8 hour shifts as per system need; variable to 10-12 as needed.... 
    Remote work
    Flexible hours
    Work experience placement
    Work at office
    Weekend work

    Harris Health System

    Bellaire, TX
    4 days ago
  •  ...Guidehealth leverages remotely‑embedded Healthguides™ and a centralized Managed Service Organization to...  ...precise and timely Utilization Review. In this role,...  ...aligned with Illinois nursing regulations and contemporary...  ..., providing you the flexibility to spend less time... 
    Remote work
    Bi-weekly pay
    Full time
    Temporary work
    For contractors
    Local area
    Work from home

    Guidehealth

    Chicago, IL
    2 days ago
  • $71.1k - $97.8k

     ...a part of our caring community The Utilization Management Nurse 2 utilizes clinical nursing skills to...  ...Additional Information ~ Must work an 8 hour shift between 8:30AM-5:30PM local time...  .... Travel: While this is a remote position, occasional travel to Humana'... 
    Remote work
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Local area
    Work from home
    Home office
    Monday to Friday
    Shift work

    Humana

    Tallahassee, FL
    21 hours ago
  • $45.75 - $62.9 per hour

     ...This is a fulltime prior authorization nurse role; experience with health plan...  ...a hybrid position with potential for remote work. JOB SUMMARY: Under the supervision...  ...of the Supervisor, UM Clinical, the Utilization/Case Manager Nurse coordinates the delivery of care... 
    Remote work
    Full time

    Rady Children's Hospital

    San Diego, CA
    6 days ago
  • $40 per hour

     ...Job Title: Utilization Management Nurse - Behavioral Health Focus (Remote) Time Zone Preference: Pacific or Mountain Time Zone is preferred Work Schedule: Tuesday through Saturday, 8:00 AM - 5:00 PM PST Compensation: $40 per hour... 
    Remote work
    Hourly pay
    Permanent employment
    Temporary work
    Work at office

    Morgan Stephens

    United States
    4 days ago
  • $74.16 - $107.75 per hour

     ...Utilization Review Nurse Work Location: Los Angeles, CA, USA Onsite or Remote Fully On-Site Work Schedule Monday-Friday 8am-4:30pm Salary Range: $74.16 - $107.7...  ...Utilization Review Nurse is part of the Utilization Management Department at the Resnick Neuropsychiatric... 
    Remote work
    Hourly pay
    Work at office
    Monday to Friday

    University of California

    United States
    4 days ago
  • $1,600 - $1,800 per week

     ...Now Hiring: Registered Nurse – Utilization Management Location: Buckley AFB & Peterson AFB, Colorado Military Health System Compensation: $1,60...  ...Friday, 0730–1630 No weekends, no holidays, no telehealth/remote work Minimum Qualifications U.S. Citizenship (required... 
    Remote work
    Contract work
    Immediate start
    Monday to Friday

    J Edward Staffing LLC

    Aurora, CO
    1 day ago
  •  ...extension) *Note: Candidates can be remote but must have an active...  ...RN, is a licensed Registered Nurse that is expected to function...  ...role and is responsible for managing a clinically complex caseload...  ...Precertification / Outpatient Utilization Management (UM) team and works... 
    Remote work
    Contract work
    Work at office
    Work from home

    AppCast

    Lowell, MA
    3 days ago
  • $35.29 - $47.37 per hour

     ...Health and life insurance, Flexible Spending- and Health Savings...  ...their work-life balance Remote work options and Flexible scheduling...  ...improving quality of care, managing costs, and honoring...  ...hiring a Part-time REMOTE Utilization Review Nurse . If you are a licensed nurse... 
    Remote work
    Flexible hours
    Hourly pay
    Part time
    Currently hiring
    Work at office
    Local area
    Work from home
    Monday to Friday

    DOCS Management Services

    Coos Bay, OR
    4 days ago
  • $71.1k - $97.8k

    A leading healthcare organization seeks a Utilization Management Registered Nurse to utilize clinical skills for coordinating medical services. This remote position involves assessing care needs, communicating effectively with providers, and serving as part of a team ensuring... 
    Remote job

    Humana Inc

    Oklahoma City, OK
    3 days ago
  • $74.16 - $107.75 per hour

     ...Work Location: Los Angeles, CA, USA Onsite or Remote Fully On-Site Work Schedule Monday...  ...or enter keys to toggle section visibility The Utilization Management (UM) Nurse supports appropriate level-of-care determination, patient... 
    Remote work
    Hourly pay
    Work at office
    Monday to Friday

    UCLA Health

    Los Angeles, CA
    13 hours ago
  • $71.1k - $97.8k

    A healthcare company is seeking a Utilization Management Registered Nurse to support coordination and communication of medical services. The role requires...  ..., and facilitating care communication. This is a remote position with a pay range of $71,100 to $97,800 per year... 
    Remote job

    Humana Inc

    Atlanta, GA
    3 days ago
  • $58.66k - $142.45k

     ...Peer-to-Peer Utilization Review Nurse Mass General Brigham relies on a wide...  ...the MGB Central Utilization Management team, specializing in identifying...  ...(if applicable): ~ Remote / Work from Home. ~32 hours...  ...Type: Regular Work Shift: Day (United States of America... 
    Remote work
    Work from home
    Shift work

    Mass General Brigham

    Somerville, MA
    4 hours ago
  •  ...Utilization Management Nurse RIHS Austin Regional Office - Austin, TX 78727 Overview Position Type Full Time Description Primary...  ...Qualifications Location Requirements This position is remote but requires the employee to live within our service area,... 
    Remote work
    Full time
    Work at office
    Weekend work

    Regency Integrated Health Services

    United States
    4 days ago
  • $34.98 - $42.85 per hour

     ...Remote in California only Are you ready to make a lasting impact...  ...Job Summary The UM Nurse I - RN performs clinical review...  ...policies. This role conducts utilization review activities under...  ...one (1) year in utilization management or case management preferred.... 
    Remote work
    Hourly pay
    Work at office

    Clever Care Health Plan

    Huntington Beach, CA
    1 day ago
  • $75.3k - $135.4k

     ...professional on our Medical Management/Health Services team....  ...on workplace flexibility. Work Schedule & Requirements...  ...This is a fully remote position operating on...  ...York State Registered Nurse (NYS RN) licensure is...  ...-to-day activities of utilization management team. Monitors... 
    Remote job
    Flexible hours
    Full time
    Part time
    Work at office
    Monday to Friday

    Fidelis Care - New York

    New York, NY
    3 days ago
  • A healthcare company is seeking a Utilization Management Registered Nurse in Denver, Colorado. This remote position involves using clinical nursing skills to manage post-acute care services, determine appropriate medical services, and communicate with healthcare providers... 
    Remote job

    Humana Inc

    Denver, CO
    3 days ago
  • A health insurance company is seeking a Utilization Management Registered Nurse to leverage clinical skills for coordinating medical services within a remote setting. The role involves interpreting medical documentation and collaborating with healthcare providers. Ideal... 
    Remote job

    Humana Inc

    Indianapolis, IN
    3 days ago
  • $71.1k - $97.8k

    Humana Inc is looking for a Utilization Management RN to join their team in Raleigh, NC. This role involves collaborating with health care providers...  ..., 5+ years of clinical experience, and the ability to work remotely with occasional travel. Humana offers competitive pay, with... 
    Remote job

    Humana Inc

    Raleigh, NC
    1 day ago
  • $71.1k - $97.8k

    A leading health services company is looking for a Utilization Management Registered Nurse based in Ohio. The role involves using clinical skills to support...  ...year of clinical experience. This position allows for remote work with occasional travel to company offices.... 
    Remote job

    Humana Inc

    Columbus, OH
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Utilization Management Nurse | Flexible Shifts. Be the first to apply!